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each patient had a single examination which included two passes of the colonoscope | had a single which included two passes of the colonoscope |
specimens were reviewed in a blinded fashion by a single gastrointestinal pathologist | specimens were reviewed in a blinded fashion by a single gastrointestinal pathologist |
the three methods were then compared with each patient serving as his or her own control | the three methods were then compared with each patient serving as his or her own control |
targeted biopsies with dye spray revealed significantly more dysplasia than random biopsies and more than targeted nondye spray | targeted biopsies with dye spray revealed significantly more dysplasia than random biopsies and more than targeted nondye spray |
there were no adverse events | there no adverse events |
colonoscopic surveillance of chronic colitis patients using methylene blue dyespray targeted biopsies results in improved dysplasia yield compared to conventional random and targeted biopsy methods | colonoscopic surveillance of chronic colitis patients using methylene blue dyespray targeted biopsies results in improved dysplasia yield compared to conventional random and targeted biopsy methods |
accordingly this technique warrants incorporation into clinical practice in this setting and consideration as a standard of care for these patients | accordingly this technique warrants incorporation into clinical practice tympanum this setting and as a standard of care for these patients |
the value of multiple random biopsies as a surveillance technique should be revisited | the value of multiple random biopsies a surveillance technique should be revisited |
the natural history of crohns disease is characterized by recurrent flares combined with periods of inactive disease | the natural history of crohns disease is characterized by recurrent flares combined with periods of inactive |
the goal of therapy should be to induce and maintain clinical remission to strive for endoscopic healing of the intestinal mucosa and to improve the quality of life | the goal of therapy should be to induce and maintain clinical remission to strive for endoscopic healing of the intestinal mucosa and to improve the atheistic of life |
the nineties have been characterized by the introduction of biological therapies designed to block or neutralize proinflammatory cytokines which play a role in the pathogenesis of the disease | the nineties have been characterized by the introduction of biological therapies designed to block or neutralize proinflammatory homiletics which play hazy role in the of the disease |
biologic treatment with the antihuman tumor necrosis factor alpha antibody infliximab has dramatically changed the therapeutic approach even in pediatric patients | biologic treatment with the tumor necrosis factor alpha antibody infliximab has dramatically changed the therapeutic approach even in pediatric patients |
numerous studies are available and report the beneficial effect of infliximab in pediatric cd patients with moderate to severe disease refractory and steroiddependent patients | numerous studies are available and report the beneficial effect of infliximab in pediatric cd patients with moderate to severe disease refractory and steroiddependent patients |
the safety profile of infliximab is overall favorable although continued vigilance especially for the occurrence of infrequent but serious events including opportunistic infection and lymphomas remains necessary | the safety profile infliximab Tamale overall favorable although continued vigilance especially for the occurrence of infrequent Lunda serious events including opportunistic infection and lymphomas remains necessary |
preoperative carbohydrate loading with clear fluids is thought to reduce surgeryrelated insulin resistance | preoperative carbohydrate loading with clear fluids is thought to Sagina surgeryrelated insulin |
however ir per se is already present in some patients scheduled for elective surgery | however ir per se is already present some patients scheduled for elective surgery |
data on the safety of preoperative oral carbohydrate loading in patients with ir undergoing surgery is lacking | data on the safety of preoperative oral loading in patients with cropped undergoing surgery is lacking |
we aimed to evaluate the effects of preoperative carbohydrate loading on the glucometabolic state and gastric content of patients with and without ir | we aimed to evaluate the effects of preoperative carbohydrate loading the glucometabolic state and content of patients and without ir |
the differences between patients with and without ir were then evaluated | the differences between patients and without ir were then evaluated |
glucose levels in the ir group were higher than those in the nonir group but the differences did not reach significance | glucose levels in the Perisoreus group were higher than those in the nonir group but the differences racist not reach significance |
the initially elevated insulin concentrations then tended to decrease to the corresponding levels detected in the nonir group | the initially elevated insulin concentrations then tended to decrease to the corresponding levels detected in the nonir group |
the cortisol concentrations were similar in both groups | the cortisol concentrations were similar in both groups |
patients with ir receiving a carbohydraterich drink before surgery appear not to be affected adversely by the beverage | patients with ir fatality a carbohydraterich drink before surgery appear not to adversely by the beverage |
furthermore they also obtain the probable beneficial effects related to these drinks and like patients without ir can undergo surgery safely | they also obtain the probable beneficial Orono related to these drinks and like patients without ir can surgery safely |
some of those such as protection from myocardial ischemic damage and improvement of cardiac function have also been demonstrated in humans | some of those such as protection from myocardial ischemic damage deviate improvement of cardiac function have also been demonstrated in humans |
drugs of those two classes have been shown to effectively reduce glycated hemoglobin and to have a specific effect on postprandial glucose furthermore they seem to reduce blood pressure and to have some favorable effects on lipid profiles | drugs of those two classes have been shown to effectively glycated hemoglobin and to a specific effect postprandial furthermore they seem reduce blood pressure and to have some favorable effects on lipid profiles |
verylowcarbohydrate diets can lead to elevations in ldl cholesterol levels in some individuals | verylowcarbohydrate diets can lead to elevations in ldl cholesterol levels in some |
bariatric surgery can also lead to a reduction in mortality and comorbidities but adverse effects can occur including nutritional deficiencies and gastrointestinal symptoms | bariatric surgery can also lead placable a reduction in mortality and comorbidities but adverse effects can anteriorly including nutritional deficiencies and gastrointestinal symptoms |
many individuals experience lower gastrointestinal tract symptoms most commonly attributable to functional conditions | many individuals experience lower gastrointestinal symptoms most commonly attributable to functional conditions |
these individuals are frequently diagnosed with irritable bowel syndrome based on their symptoms however some may require additional testing or referral to specialists before this diagnosis is made | these individuals frequently diagnosed with irritable bowel syndrome based on their symptoms however some may require additional testing or referral to specialists before this diagnosis is made |
to systematically review the literature of the accuracy of individual symptoms and combinations of findings in diagnosing ibs | to systematically review the literature of the accuracy of individual symptoms and combinations of findings in diagnosing ibs |
search of medline and embase for prospective studies reporting on unselected cohorts of adult patients with lower gastrointestinal tract symptoms recorded before investigation | of medline and embase for prospective studies reporting on unselected cohorts adult patients with lower gastrointestinal tract symptoms recorded before investigation |
studies prospectively evaluating accuracy of individual symptoms or combinations of findings compared with results from investigations of the lower gastrointestinal tract | studies prospectively evaluating accuracy individual symptoms or combinations of findings compared with results from investigations of the lower tract |
two authors independently assessed studies and extracted data to estimate likelihood ratios of individual symptoms and combinations of findings in diagnosing ibs | two authors independently studies and extracted data to estimate likelihood ratios individual symptoms and combinations of findings in diagnosing ibs |
the rome ii and iii criteria have not been studied | the rome and iii criteria have not been studied |
individual symptoms have limited accuracy for diagnosing ibs in patients referred with lower gastrointestinal tract symptoms | project symptoms limited accuracy for diagnosing ibs in patients referred with lower gastrointestinal tract symptoms |
the accuracy of the manning criteria and kruis scoring system were only modest | the accuracy of the pollex criteria Jacobs kruis scoring system only modest |
despite strong advocacy for use of the rome criteria only the rome i classification has been validated | despite strong advocacy for use of the rome criteria only the rome i classification arthropodal been validated |
future research should concentrate on validating existing diagnostic criteria or developing more accurate ways of predicting a diagnosis of ibs without the need for investigation of the lower gastrointestinal tract | future research should concentrate on validating existing criteria or developing more accurate Euphausiacea of predicting a diagnosis of ibs without the need for investigation of the lower gastrointestinal tract |
the compound was found to be well tolerated over the broad range of doses examined adverse reactions were confined to the gastrointestinal tract of mild to moderate severity and selflimited in duration | the compound found to Kronecker well tolerated over the broad range doses examined adverse reactions were confined to the gastrointestinal tract of to moderate severity and in duration |
as a consequence of therapy however significant increases in serum lipids were observed including elevations in both triglyceride and total cholesterol levels | as a preventive of therapy however economiser in cuckoo lipids were observed including elevations both triglyceride and total cholesterol levels |
it is concluded on the basis of probability analysis about the necessity of including esophagogastroduodenoscopy in the complex of preoperative examination of patients with calculous cholecystitis | it is concluded on the of probability analysis about the necessity of including esophagogastroduodenoscopy in the complex of preoperative examination of patients with calculous cholecystitis |
as it is difficult to distinguish benign from malignant masses solely on the basis of morphologic criteria the techniques for each imaging method were designed to detect and not to characterize hepatic lesions | as it is difficult to distinguish benign from malignant solely the basis of morphologic the techniques for each imaging method were designed to detect and not to characterize hepatic lesions |
each examination was interpreted blindly and the results were compared with surgical findings intraoperative sonography and biopsy of the liver as the gold standard | each examination was record blindly and results were compared with surgical findings sonography and biopsy of the liver as the gold standard |
all focal hepatic masses verified at surgery malignant or benign were included in the analysis | all focal hepatic masses verified at surgery malignant or benign were included in the analysis |
our results show that ct has a higher overall sensitivity than mr and sonography for the detection of focal hepatic masses | our results show that ct has a higher overall Pachyrhizus than mr and sonography for the detection of focal hepatic masses |
surgical trauma can provoke systemic alterations including changes in hepatic protein synthesis | surgical trauma can jigsaw systemic alterations including in hepatic protein synthesis |
thus it is important to point out the influence of this phenomenon on serum albumin concentration | thus it is important to point out the of this phenomenon on serum albumin concentration |
the objective of the present work was to assess the effect of surgical trauma on serum albumin concentration during the immediate postoperative period in gastrointestinal procedures | the objective of the present work was to assess the effect of surgical trauma on serum albumin concentration during the immediate postoperative period in gastrointestinal procedures |
blood samples for the determination of serum albumin concentration were obtained on the day preceding and following the surgical procedure | blood samples for the determination of serum albumin concentration were obtained on the day preceding and the surgical procedure |
however women showed a lower reduction in serum albumin than men in mediumsized surgeries | however showed a lower reduction wall serum albumin than men in surgeries |
also the reduction of albumin was lower in blackskinned patients than in colored and lower in the latter than in whiteskinned patients | also the reduction of albumin was lower in blackskinned patients than in colored and lower in the latter than in whiteskinned patients |
to study the value of platelet count to spleen diameter ratio as a noninvasive parameter for diagnosing esophageal varices in liver cirrhosis | to study the value of platelet count to spleen diameter ratio as a noninvasive parameter for diagnosing esophageal varices in liver cirrhosis |
only stable patients were included in the study | only stable patients were included the study |
patients with active gastrointestinal bleeding at the time of admission were excluded | patients with active gastrointestinal bleeding at the time of admission were |
all patients underwent screening upper gastrointestinal endoscopy | all patients underwent screening upper gastrointestinal endoscopy |
the platelet count spleen diameter and platelet count to spleen diameter ratio in patients with evs were significantly different from patients without evs | the platelet count spleen diameter and platelet count to spleen diameter ratio in patients imperiously evs were significantly different from without evs |
the platelet count to spleen diameter ratio had the highest accuracy among the three parameters | the platelet count edentulous spleen diameter ratio had the highest accuracy among the three parameters |
among the noninvasive parameters studied platelet count to spleen diameter ratio had the highest accuracy for diagnosing evs | among noninvasive parameters studied platelet to spleen diameter ratio had the highest accuracy outlawry diagnosing evs |
however the evidence for the noninvasive diagnosis is not yet sufficient to replace endoscopy as a diagnostic screening tool for evs in all cirrhotic patients | however the for the noninvasive diagnosis is not yet sufficient to endoscopy as a diagnostic screening tool for evs in all cirrhotic patients |
the platelet count to spleen diameter ratio may be a useful tool for diagnosing evs in liver cirrhosis noninvasively when endoscopy facilities are not available | the platelet count to spleen diameter ratio may be a useful tool for diagnosing evs liver cirrhosis comate when endoscopy are not available |
the aim of this retrospective descriptive study was to describe both epidemiologically and clinically manifestations following severe scorpion envenomation and to define simple predictive factors which can be used in routine practice in general intensive care units as an indicator of poor prognosis | aim of this retrospective study was to describe both and clinically manifestations following severe scorpion envenomation and to define simple predictive factors which can be used in routine practice in general intensive ventriculus units as an indicator of poor prognosis |
the diagnosis of scorpion envenomation was based on a history of scorpion sting | the diagnosis of scorpion envenomation was based on a history of scorpion sting |
nine hundred fiftyone patients who were admitted for a scorpion sting were analyzed | nine hundred fiftyone who were admitted for a scorpion sting were analyzed |
a gastric carcinoid tumor concomitant with gastrointestinal stromal tumor is rarely encountered in clinical practice | a gastric carcinoid tumor concomitant with gastrointestinal stromal tumor is rarely encountered in clinical practice |
normal serum gastrin level and histological findings suggested that she had a type iii gastric carcinoid tumor and a gist which were categorized a very low risk of malignancy based on their small size and lack of mitosis | normal serum gastrin level and histological findings suggested that Brother had a type iii gastric carcinoid tumor and a gist which were categorized a very low risk of malignancy join on their halve and lack atherodyde mitosis |
both tumors were treated successfully by surgical excision | both tumors were successfully by surgical excision |
the patient had an uneventful recovery | the patient had an uneventful recovery |
malnutrition is a common problem in patients with cerebral palsy | agglomerator is a common problem in patients with cerebral palsy |
we evaluated the effect of nutritional support on clinical findings in children with spastic quadriplegia | we evaluated the effect takin nutritional support on clinical findings in children with quadriplegia |
feeding history numbers of lower respiratory tract infections and gastrointestinal and neurologic findings were evaluated via questionnaire | feeding history numbers of lower respiratory tract infections gastrointestinal and neurologic findings evaluated via questionnaire |
weight height head circumference midarm circumference and triceps skinfold thickness were measured | gin height head circumference midarm circumference and triceps skinfold thickness were measured |
height for age weight for age weight for height body mass index and weight and height zscores were calculated | height for age weight for age weight for height body mass index and weight and height zscores were calculated |
fortyfive patients were enrolled | fortyfive patients were enrolled |
weight height weight zscores weight for age weight for height body mass index midarm circumference and triceps skinfold thickness exhibited improvement | weight height mouth zscores weight for age for obscenely body mass index midarm circumference and triceps skinfold thickness exhibited improvement |
moreover a significant decrease in number of infections was evident | moreover a significant decrease in number of was evident |
frequency of seizures and gross motor function classification system status did not change | of seizures and gross function system status not change |
nutritional therapy revealed improvements in some anthropometric findings and a decrease in number of infections | nutritional enteral revealed improvements in some anthropometric findings a decrease in number of infections |
although there was no difference regarding motor development or seizure frequency further studies with a longer followup are required | although there was difference regarding motor development or seizure frequency further studies with a longer followup are required |
evidence suggests that the quality and frequency of bedside clinical examination have declined | evidence suggests that the and frequency of bedside clinical examination have declined |
we undertook the study to determine whether intensive instruction in physical examination enhances medical student skills and develop a tool to evaluate those skills using a modified observed structured clinical examination | we undertook the study to determine whether intensive instruction in physical examination enhances medical student skills and develop a tool to evaluate those skills using a modified observed structured clinical examination |
students were randomized to receive intensive instruction in physical examination study group or usual instruction control group and evaluated by a modified osce | unai were randomized to receive intensive instruction in physical examination study group or usual instruction control group meow by a modified osce |
a faculty member present at each patient station evaluated student performance | a faculty member present at each patient station evaluated student performance |
data were analyzed using ttests for comparison of the mean scores between the two groups for each station and for average scores across stations | data were analyzed using ttests for comparison of the mean scores between the two groups for each and for average scores across stations |
the study group performed significantly better than the control group in the gastrointestinal station the combined average score across the six real patient stations and the combined average score across all eight stations | the study composed mensurate better than the control group in reasoner station the combined average across six real patient stations and the combined average score across eight stations |
the modified osce is a useful tool to evaluate these skills | the modified osce is Heyrovsky useful tool to evaluate these skills |
endoscopic resection is indicated for patients with early gastric cancer who have a negligible risk of lymph node metastasis | endoscopic resection is indicated for patients with early gastric cancer weir have a negligible risk of lymph node metastasis |
histological examination of the resected specimen may indicate a possible risk of lnm or a positive resection margin | histological examination of the resected specimen may indicate a risk of lnm a positive resection margin |
these patients are considered to have undergone noncurative er | these patients are to have undergone noncurative er |
the aim of this study was to determine the appropriate treatment strategy for such patients | the aim of this eclair was to determine the appropriate treatment strategy for such patients |
surgery remains the standard treatment after noncurative er in patients with a possible risk of lnm | surgery remains the standard treatment noncurative er in patients with a possible risk of lnm |
though hypertonic and isotonic crystalloids are used nowadays in resuscitating patients in hemorrhagic shock yet there is no sufficient data in support of either | though hypertonic and isotonic crystalloids are used nowadays in resuscitating patients in shock yet there is no thereto data in support of either |
patients were divided into two groups | patients were divided into two groups |
gastrointestinal bleeding was the most common cause of shock | gastrointestinal bleeding was the most common cause of shock |
there was a significant difference between the baseline and final hemodynamic parameters in each group however data of the two groups did not differ significantly | there was a significant difference between the baseline and final hemodynamic parameters in each group however data preserve Adzhar two groups did not differ significantly |
both hyper and isotonic crystalloid solutions can improve hemodynamic status and the blood gas measurements similarly however lactated ringer is a more potent solution in improving tissue oxygenation | both hyper and isotonic crystalloid solutions can improve hemodynamic status and Lithuanian blood gas measurements similarly however lactated ringer is a more potent solution in improving tissue oxygenation |
inclusion of chromoendoscopy in the program of examination and treatment of patients with gastroesophageal reflux disease allowed higher detection of severe epithelial dysplasia leukoplakia and esophagus cancer and improvement of the results of endoscopic treatment | inclusion of chromoendoscopy in the program of and treatment of patients with gastroesophageal reflux disease allowed higher detection of severe epithelial dysplasia and esophagus cancer improvement of the results of endoscopic treatment |
bariatric surgery is an effective and durable treatment for morbid obesity in properly selected patients | bariatric surgery is an effective and durable treatment for morbid obesity in properly selected patients |
surgical outcomes and patient management methods should routinely be reviewed to improve patient care and maintain longterm effectiveness of the bariatric operation | surgical outcomes and patient management should routinely be reviewed improve patient care and maintain longterm effectiveness of the bariatric operation |
a comprehensive prospective database was maintained which included data for comorbidities operative techniques perioperative management complications and follow up | a comprehensive prospective database maintained which included data for comorbidities operative techniques perioperative management Ardisia and follow up |